After a major flu vaccination campaign, an agency bills a private insurance company for the administration of each vaccination according to the insurance company's reimbursement guidelines. This is an example of which major payment method?

Charges

Contractual allowance

Prospective reimbursement

Cost-based reimbursement

Answer and Explanation

The Correct Answer is A

A. Charges refer to the fees billed for services rendered, which in this case is the administration of each vaccination according to the insurance company's guidelines.
B. Contractual allowance refers to the difference between the billed amount and the amount agreed upon in the contract with the insurance company, which is not the primary focus here.
C. Prospective reimbursement is based on predetermined rates rather than charges billed after services are provided.
D. Cost-based reimbursement is determined by the actual costs incurred in providing services, which does not apply in this context as the billing is based on set charges for vaccinations.

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Correct Answer is A

Explanation

A. The core concepts of informatics—data, information, and knowledge—are fundamental for understanding how to manage and use information in healthcare settings.
B. While hardware and software are important, they are not the foundational concepts of informatics.
C. Decision making, data gathering, and reporting are part of the informatics process but do not encompass the core concepts themselves.
D. Wireless technology, voice recognition, and handheld devices are tools used in informatics but do not represent its core concepts.

A. Admission notes B. Orders C. Laboratory findings D. Patient profile E. Vital signs

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

Admission notes: Knowledge
Admission notes provide insights into the patient's medical history and current condition, which requires understanding and context, indicating knowledge.
Orders: Wisdom
The orders reflect clinical judgment and decision-making based on the patient's condition and needs, indicating wisdom.
Laboratory findings: Data
Laboratory findings present measurable results (e.g., blood glucose, serum ketones, pH), representing raw data.
Patient profile: Data
The patient profile includes demographic information and medical history, which are factual data points.
Vital signs: Data
Vital signs are quantitative measurements that provide objective data on the patient's physiological status.

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After a major flu vaccination campaign, an agency bills a private insurance company for the administration of each vaccination according to the insurance company's reimbursement guidelines. This is an example of which major payment method?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is orienting new staff members to computerized charting. To understand computerized charting, staff members must understand informatics. The three core concepts in informatics are:

Correct Answer is A

Explanation

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

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